Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Surgical instruments, drains & catheters

4,941 views

Published on

surgical insturmnts

Published in: Healthcare
  • Hello! High Quality And Affordable Essays For You. Starting at $4.99 per page - Check our website! https://vk.cc/82gJD2
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • The Santamedical Unit White Cloth series of Electrode Pads are high quality, premium TENS Electrodes made with high quality adhesive for reusability. Buy Now at amazon.com https://www.amazon.com/Santamedical-Re-Usable-Carbon-Electrode-Premium/dp/B011Q9OEP0
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • We are manufacturer and Exporter of Surgical instruments, Dental instruments, Beauty Care instruments. We manufacture all instruments under the highest quality control system; all instruments are manufactured by high quality stainless steel which imports from Japan, Germany, and France to meet customer requirements. We are proud to announce over 20 years of experience in this business with our third Generation joining us now in this family business. Our long Manufacturing history is one important factor of our success in this field. Our manufacturing unit located in Sialkot & it is fully equipped & capable to handle all manufacturing processes, e.g Material Testing, Forging, Milling Filling, Machine & tool work, Heat Treatment, Reverting, Grinding, Polishing.
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • very very useful slides
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Surgical instruments, drains & catheters

  1. 1. Surgical Instruments Prof. Dr. Ram Sharan Mehta 1Prof. Dr. RS Mehta, BPKIHS
  2. 2. Objectives Describe various surgical instruments Discuss the names of various surgical instruments 2Prof. Dr. RS Mehta, BPKIHS
  3. 3.  Perform surgical procedures  Chosen based on action  These tools are used for  Holding  Pulling  Clamping  Cutting  Crushing  Closing a wound 3Prof. Dr. RS Mehta, BPKIHS
  4. 4. Definitions  Excision – removal of tissues by surgical cuts  Ecraseur – an instrument that permits excision by a crushing action  Incision – surgical cut made into a tissue of organ  Cannula – a tube that is inserted into a body cavity for drainage of fluid 4Prof. Dr. RS Mehta, BPKIHS
  5. 5. Surgical Instruments I • Forceps: for compressing or grasping tissue. Thumb forceps and hemostats are typical forceps. Hemostats aid in compressing tissue, especially blood vessels, to stop bleeding (hemostasis). • Needle holders: hemostat-like devices that hold needles used to suture wounds closed. • Needles: permanently attached suture material = swaged-on. Tip may be blunt, tapered, sharp, cutting, or some other configuration • Scalpel handle and blades: size 10 blade most popular, 11 has a straight edge and a sharp point.15 has a very small cutting edge, used for fine, delicate surgery(e.g. eye). 20 is similar to 10 but larger. 5Prof. Dr. RS Mehta, BPKIHS
  6. 6. Surgical Instruments II • Scissors: blunt-blunt, blunt-sharp, or sharp-sharp. They may also be straight or curved. Some scissors are serrated for cutting thick bandages or cartilage. • Retractors: pull overlying tissue away from the surgical site. Hand-held retractors and self-retaining • Suture materials: thickest suture is given the number 6. • <6 = smaller diameter. • Sutures having smaller diameter indicated by 0 (“aught”) smallest suture is designated 12-0 (twelve-aught). • Synthetic = nylon, or natural = silk or gut. • Some absorbed by the body during the healing process, nylon removed after wound heals, usually in 7–10 days. • Gauze pads: sponges used for soaking up blood and other fluids from the surgical site. 6Prof. Dr. RS Mehta, BPKIHS
  7. 7. Scissors  Four different types  Utility  Suture  Surgical  Dissecting SCISSORS TYPES- ACCORDING TO CURVATURE- straight, curved or angled “ “ USE - Dressing, stitch removal, tissue “ “ the Tip - sharp or blunt 7Prof. Dr. RS Mehta, BPKIHS
  8. 8.  Utility  Cut material that may dull the blade 8Prof. Dr. RS Mehta, BPKIHS
  9. 9.  Suture  Remove sutures  Type of utility 9Prof. Dr. RS Mehta, BPKIHS
  10. 10.  Operating  Surgical  Cut soft tissue  Different sizes  Blade can be straight, curved, blunt or pointed 10Prof. Dr. RS Mehta, BPKIHS
  11. 11.  Dissecting  Separate and differentiate tissues 11Prof. Dr. RS Mehta, BPKIHS
  12. 12. Forceps  Three Types  Thumb forceps  Clamping forceps  Needle holders  Look like tweezers 12Prof. Dr. RS Mehta, BPKIHS
  13. 13.  Thumb forceps  Used for  Grasping  Compressing  Cutting  Pulling tissue 13Prof. Dr. RS Mehta, BPKIHS
  14. 14.  Clamping forceps  Hemostats  Control blood flow 14Prof. Dr. RS Mehta, BPKIHS
  15. 15.  Needle holders  Locking forceps  Similar to hemostats  Holds suture needles when installing stitches 15Prof. Dr. RS Mehta, BPKIHS
  16. 16. Scalpels  Very sharp knife  Handle and blade are packaged separately  Used to make surgical cuts called incisions  Different sizes and styles  Tenotome- dissecting scalpel used for fine dissection and cutting or dividing tendons 16Prof. Dr. RS Mehta, BPKIHS
  17. 17. KNIVES Interchangeable handles and blades No 3 handle for # 15 blade – for small incisions And #11 blade – i& d of abscesses N04 handle for #24 etc for larger incisions 17Prof. Dr. RS Mehta, BPKIHS
  18. 18. Tubes  Cannula  Wound healing  Different lengths  Types  Trocar  Catheters 18Prof. Dr. RS Mehta, BPKIHS
  19. 19.  Trocar  Release fluid or gas build-ups  Sharp stylet inside cannula 19Prof. Dr. RS Mehta, BPKIHS
  20. 20.  Catheters  Either metal or rubber  Inserted into body structures 20Prof. Dr. RS Mehta, BPKIHS
  21. 21. Surgical instruments 21Prof. Dr. RS Mehta, BPKIHS
  22. 22. Scalpels  Bard-Parker Small Handles:  #3 Scalpels 22Prof. Dr. RS Mehta, BPKIHS
  23. 23. Scalpels  Bard-Parker Small Handles:  #7 23Prof. Dr. RS Mehta, BPKIHS
  24. 24. Scalpels  Bard-Parker Small Handles:  #9 (round) 24Prof. Dr. RS Mehta, BPKIHS
  25. 25. Scalpels  Bard-Parker Large Handles:  #4 25Prof. Dr. RS Mehta, BPKIHS
  26. 26. Scalpels  Blades: 26Prof. Dr. RS Mehta, BPKIHS
  27. 27. Scissors  Mayo  Curved:  Straight: 27Prof. Dr. RS Mehta, BPKIHS
  28. 28. Scissors  Metzenbaum  Curved:  Straight: 28Prof. Dr. RS Mehta, BPKIHS
  29. 29. Scissors  Suture Scissors: 29Prof. Dr. RS Mehta, BPKIHS
  30. 30. Scissors  Lister Bandage Scissors: 30Prof. Dr. RS Mehta, BPKIHS
  31. 31. Thumb Forceps 31Prof. Dr. RS Mehta, BPKIHS
  32. 32. Thumb Forceps  Adson: 32Prof. Dr. RS Mehta, BPKIHS
  33. 33. Thumb Forceps  Adson-Brown: 33Prof. Dr. RS Mehta, BPKIHS
  34. 34. Thumb Forceps  DeBakey: 34Prof. Dr. RS Mehta, BPKIHS
  35. 35. Thumb Forceps  Russian: 35Prof. Dr. RS Mehta, BPKIHS
  36. 36. Needle Holders  Mayo-Hagar: 36Prof. Dr. RS Mehta, BPKIHS
  37. 37. Needle Holders  Olsen-Hagar:  The ones with built-in scissors 37Prof. Dr. RS Mehta, BPKIHS
  38. 38. Needle Holders  Castroviejo: 38Prof. Dr. RS Mehta, BPKIHS
  39. 39. Hemostatic Forceps  Halsted Mosquito:  We have the curved ones! 39Prof. Dr. RS Mehta, BPKIHS
  40. 40. Hemostatic Forceps  Kelly: 40Prof. Dr. RS Mehta, BPKIHS
  41. 41. Hemostatic Forceps  Crile: 41Prof. Dr. RS Mehta, BPKIHS
  42. 42. Hemostatic Forceps  Rochester-Carmalt: 42Prof. Dr. RS Mehta, BPKIHS
  43. 43. Hemostatic Forceps  Satinsky: • cardiovascular • allow occlusion of only a portion of vessel 43Prof. Dr. RS Mehta, BPKIHS
  44. 44. Hemostatic Forceps  Oschner: 44Prof. Dr. RS Mehta, BPKIHS
  45. 45. Tissue Forceps  Allis: 45Prof. Dr. RS Mehta, BPKIHS
  46. 46. Tissue Forceps  Babcock: 46Prof. Dr. RS Mehta, BPKIHS
  47. 47. Tissue Forceps  Doyen: Intestinal 47Prof. Dr. RS Mehta, BPKIHS
  48. 48. Other Forceps 48Prof. Dr. RS Mehta, BPKIHS
  49. 49. Forceps  Vulsellum: 49Prof. Dr. RS Mehta, BPKIHS
  50. 50. Forceps  Alligator: 50Prof. Dr. RS Mehta, BPKIHS
  51. 51. Forceps  Serrefine (Bulldog Clamp): Used for temporary occlusion of medium sized vessels 51Prof. Dr. RS Mehta, BPKIHS
  52. 52. Towel Clamps  Backhaus: Drape to skin 52Prof. Dr. RS Mehta, BPKIHS
  53. 53. Towel Clamps  Edna: Nonpenetrating towel clamp Attach drape to drape or instruments to drapes (suction, cautery) 53Prof. Dr. RS Mehta, BPKIHS
  54. 54. Hand-held Retractors 54Prof. Dr. RS Mehta, BPKIHS
  55. 55. Hand-held Retractors  Senn: 55Prof. Dr. RS Mehta, BPKIHS
  56. 56. Hand-held Retractors  Army-Navy: 56Prof. Dr. RS Mehta, BPKIHS
  57. 57. Hand-held Retractors  Ribbon (Malleable): 57Prof. Dr. RS Mehta, BPKIHS
  58. 58. Hand-held Retractors  Hohmann: 58Prof. Dr. RS Mehta, BPKIHS
  59. 59. Hand-held Retractors  Farabeuf: 59Prof. Dr. RS Mehta, BPKIHS
  60. 60. Hand-held Retractors  Meyerding: 60Prof. Dr. RS Mehta, BPKIHS
  61. 61. Self-Retaining Retractors 61Prof. Dr. RS Mehta, BPKIHS
  62. 62. Self-Retaining Retractors  Gelpi: 62Prof. Dr. RS Mehta, BPKIHS
  63. 63. Self-Retaining Retractors  Weitlaner: 63Prof. Dr. RS Mehta, BPKIHS
  64. 64. Self-Retaining Retractors  Balfour: Abdominal retractor 64Prof. Dr. RS Mehta, BPKIHS
  65. 65. Self-Retaining Retractors  Finochietto: Rib retractor 65Prof. Dr. RS Mehta, BPKIHS
  66. 66. Self-Retaining Retractors  Meyerding: 66Prof. Dr. RS Mehta, BPKIHS
  67. 67. Ovariohysterectomy Hooks 67Prof. Dr. RS Mehta, BPKIHS
  68. 68. Ovariohysterectomy Hooks  Snook: 68Prof. Dr. RS Mehta, BPKIHS
  69. 69. Suction Tips 69Prof. Dr. RS Mehta, BPKIHS
  70. 70. Suction Tips  Poole: 70Prof. Dr. RS Mehta, BPKIHS
  71. 71. Suction Tips  Yankauer: 71Prof. Dr. RS Mehta, BPKIHS
  72. 72. Suction Tips  Frazier: 72Prof. Dr. RS Mehta, BPKIHS
  73. 73. Rongeurs 73Prof. Dr. RS Mehta, BPKIHS
  74. 74. Rongeurs  Lempert: 74Prof. Dr. RS Mehta, BPKIHS
  75. 75. Rongeurs  Kerrison: 75Prof. Dr. RS Mehta, BPKIHS
  76. 76. 76  Rumen (Bloat) Trocar Prof. Dr. RS Mehta, BPKIHS
  77. 77. Bone-Holding Forceps 77Prof. Dr. RS Mehta, BPKIHS
  78. 78. Bone-Holding Forceps  Kern: 78Prof. Dr. RS Mehta, BPKIHS
  79. 79. Bone-Holding Forceps  Serrated Reduction: 79Prof. Dr. RS Mehta, BPKIHS
  80. 80. 80  Galt Trephine Prof. Dr. RS Mehta, BPKIHS
  81. 81. 81  Osteotome Prof. Dr. RS Mehta, BPKIHS
  82. 82. 82  Jacob Chuck Prof. Dr. RS Mehta, BPKIHS
  83. 83. 83  Duckbill Rongeurs Prof. Dr. RS Mehta, BPKIHS
  84. 84. 84 Bone Rasp Prof. Dr. RS Mehta, BPKIHS
  85. 85. 85  Tap Handle Prof. Dr. RS Mehta, BPKIHS
  86. 86. Retracting and Exposing Instruments  A Deaver retractor (manual) is used to retract deep abdominal or chest incisions. Available in various widths. 86Prof. Dr. RS Mehta, BPKIHS
  87. 87. EXPOSING & RETRACTING •BALFOUR ABDOMINAL RETRACTOR Prof. Dr. RS Mehta, BPKIHS 87
  88. 88. EXPOSING & RETRACTING •ARMY NAVY FARABEUF Retractor Prof. Dr. RS Mehta, BPKIHS 88
  89. 89. EXPOSING & RETRACTING •GELPI Perineal Retractor Prof. Dr. RS Mehta, BPKIHS 89
  90. 90. EXPOSING & RETRACTING •Weitlaner Retractor Prof. Dr. RS Mehta, BPKIHS 90
  91. 91. EXPOSING & RETRACTING •Senn Retractors Prof. Dr. RS Mehta, BPKIHS 91
  92. 92. EXPOSING & RETRACTING •Finochietto Retractor Prof. Dr. RS Mehta, BPKIHS 92
  93. 93.  A Richardson retractor (manual) is used to retract deep abdominal or chest incisions Retracting and Exposing Instruments 93Prof. Dr. RS Mehta, BPKIHS
  94. 94. Retracting and Exposing Instruments  An Army-Navy retractor (manual) is used to retract shallow or superficial incisions. Other names: USA, US Army. 94Prof. Dr. RS Mehta, BPKIHS
  95. 95. Retracting and Exposing Instruments  A goulet (manual) is used to retract shallow or superficial incisions. 95Prof. Dr. RS Mehta, BPKIHS
  96. 96.  A malleable or ribbon retractor (manual) is used to retract deep wounds. May be bent to various shapes. Retracting and Exposing Instruments 96Prof. Dr. RS Mehta, BPKIHS
  97. 97.  A Weitlaner retractor (self-retaining) is used to retract shallow incisions. Retracting and Exposing Instruments 97Prof. Dr. RS Mehta, BPKIHS
  98. 98.  A Balfour with bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures. Retracting and Exposing Instruments 98Prof. Dr. RS Mehta, BPKIHS
  99. 99. ELECTROSURGERY •INITIAL Incision is made by a SCALPEL •Doubling the current increases the heat produced fourfold •ARGON Enhanced ESU Tip is held at 60 degree angle, causing LESS Tissue Damage •BUZZING – the process of coagulating the VESSELS •BUZZ should not exceed more than 3 SECONDS Prof. Dr. RS Mehta, BPKIHS 99
  100. 100. Powered Surgical Instruments DRILL BURR BLADE REAMER ABRADER AIR-POWERED ELECTRICALLY POWERED Prof. Dr. RS Mehta, BPKIHS 100
  101. 101. VIEWING •Speculums •Endoscopes •Hollow Endoscopes •Lensed Endoscopes Prof. Dr. RS Mehta, BPKIHS 101
  102. 102. LASER SURGERY •Light amplification by stimulated emission of radiation (LASER) •Types of LASES = ARGON, CARBON DIOXIDE, HOLMIUM, KRYPTON, NEODYMIUM, PHOSPHATE, RUBY/XENON Prof. Dr. RS Mehta, BPKIHS 102
  103. 103. Prof. Dr. RS Mehta, BPKIHS WWW.SMSO.NET 103
  104. 104. Thank you 104Prof. Dr. RS Mehta, BPKIHS
  105. 105. Drains Tubes Catheters 105Prof. Dr. RS Mehta, BPKIHS
  106. 106. 106Prof. Dr. RS Mehta, BPKIHS
  107. 107. Catheters  Are used for evacuating or injecting fluids.   Catheters are sized on a french scale according to the diameter of the lumen . 107Prof. Dr. RS Mehta, BPKIHS
  108. 108. Drains and tubes Are devices used to drain fluid from the body when excessive drainage is expected . 108Prof. Dr. RS Mehta, BPKIHS
  109. 109. A- Respiratory Tubes 109Prof. Dr. RS Mehta, BPKIHS
  110. 110. A-1- Airway 110Prof. Dr. RS Mehta, BPKIHS
  111. 111. A-2- Laryngeal tube 111Prof. Dr. RS Mehta, BPKIHS
  112. 112. A-3-Endotracheal intubation 112Prof. Dr. RS Mehta, BPKIHS
  113. 113. A-4- Cricothyroidotomy 113Prof. Dr. RS Mehta, BPKIHS
  114. 114. Cricothyroidotomy 114Prof. Dr. RS Mehta, BPKIHS
  115. 115. A-5- Tracheostomy tube 115Prof. Dr. RS Mehta, BPKIHS
  116. 116. A-5- Tracheostomy tube 116Prof. Dr. RS Mehta, BPKIHS
  117. 117. A-6- Chest Tube 117Prof. Dr. RS Mehta, BPKIHS
  118. 118. Collection Unit 118Prof. Dr. RS Mehta, BPKIHS
  119. 119. Thoracic catheters 119Prof. Dr. RS Mehta, BPKIHS
  120. 120. The Trocar Catheter With a large trocar needle is used for a closed thoracostomy . 120Prof. Dr. RS Mehta, BPKIHS
  121. 121. A-7- Thoracentesis needle 121Prof. Dr. RS Mehta, BPKIHS
  122. 122. 122Prof. Dr. RS Mehta, BPKIHS
  123. 123. B- Gastrointestinal Tubes 123Prof. Dr. RS Mehta, BPKIHS
  124. 124. B-1- Nasogastric Tube 124Prof. Dr. RS Mehta, BPKIHS
  125. 125. Ryle’s Tube 125Prof. Dr. RS Mehta, BPKIHS
  126. 126. B-2- P.E.G. (Percutaneous Endoscopic Gastrostomy) 126Prof. Dr. RS Mehta, BPKIHS
  127. 127. B-3- Nasogastric and nasojejunal feeding tube 127Prof. Dr. RS Mehta, BPKIHS
  128. 128. Feeding NGT 128Prof. Dr. RS Mehta, BPKIHS
  129. 129. B-4- Rectal Tube 129Prof. Dr. RS Mehta, BPKIHS
  130. 130. A Rectal Tube 130Prof. Dr. RS Mehta, BPKIHS
  131. 131. B-5- T Tube- Kehr's T-tube 131Prof. Dr. RS Mehta, BPKIHS
  132. 132. 132Prof. Dr. RS Mehta, BPKIHS
  133. 133. B-6- Blackemore Sengstaken Tube 133Prof. Dr. RS Mehta, BPKIHS
  134. 134. C- Genitourinary Tubes &Catheter 134Prof. Dr. RS Mehta, BPKIHS
  135. 135. C-1- Catheters 135Prof. Dr. RS Mehta, BPKIHS
  136. 136. -Rubber -Plastic -Silicone 2-ways foley 3-ways foley 136Prof. Dr. RS Mehta, BPKIHS
  137. 137. 137Prof. Dr. RS Mehta, BPKIHS
  138. 138. 2Way Foley Catheters To drain the bladder An inflatable balloon near the tip which holds the catheter in place 2way Foley 138Prof. Dr. RS Mehta, BPKIHS
  139. 139. 3 Way Foley Has an inlet for irrigation . 139Prof. Dr. RS Mehta, BPKIHS
  140. 140. Robinson Catheter Straight Drainage Of The Bladder. 140Prof. Dr. RS Mehta, BPKIHS
  141. 141. Nilatone (straight) catheter 141Prof. Dr. RS Mehta, BPKIHS
  142. 142. Silicone Catheter 142Prof. Dr. RS Mehta, BPKIHS
  143. 143. suprapubic catheter 143Prof. Dr. RS Mehta, BPKIHS
  144. 144. C-2- Condom Catheter 144Prof. Dr. RS Mehta, BPKIHS
  145. 145. C-3 Double J Catheter 145Prof. Dr. RS Mehta, BPKIHS
  146. 146. C-4- Nephrostomy Tubes Malecot Pigtail 146Prof. Dr. RS Mehta, BPKIHS
  147. 147. D-vascular Tube 147Prof. Dr. RS Mehta, BPKIHS
  148. 148. D-1- Butterfly Needle 148Prof. Dr. RS Mehta, BPKIHS
  149. 149. D-2- IV Cannula 149Prof. Dr. RS Mehta, BPKIHS
  150. 150. D-3- Venous Catheter 150Prof. Dr. RS Mehta, BPKIHS
  151. 151. D-4- IV set (venoset) 151Prof. Dr. RS Mehta, BPKIHS
  152. 152. D-5- BT (blood transfusion) set 152Prof. Dr. RS Mehta, BPKIHS
  153. 153. D-6- Fogarty Catheter Arterial embolectomy catheter is used to remove blood clots from an artery . 153Prof. Dr. RS Mehta, BPKIHS
  154. 154. Differentiate vascular tubes from; -spinal needle or catheter -peritoneal catheter 154Prof. Dr. RS Mehta, BPKIHS
  155. 155. Spinal Needle 155Prof. Dr. RS Mehta, BPKIHS
  156. 156. Peritoneal Catheter 156Prof. Dr. RS Mehta, BPKIHS
  157. 157. Peritoneal Catheter 157Prof. Dr. RS Mehta, BPKIHS
  158. 158. Thank you 158Prof. Dr. RS Mehta, BPKIHS
  159. 159. IMPORTANT TERMS  Atraumatic  Dilation  Dissection  Grasping  Retraction  Sharp  Traumatic  Trocar Prof. Dr. RS Mehta, BPKIHS 159
  160. 160. CLASSIFICATION OF INSTRUMENTS  Cutting and Dissecting  Grasping and Holding  Clamping and Occluding  Exposing and Retracting  Suturing and Stapling  Viewing  Suctioning and Aspirating  Dilating and Probing  Measuring  Accessory Instruments  Microinstrumentation Prof. Dr. RS Mehta, BPKIHS 160
  161. 161. CUTTING AND DISSECTING •SCALPELS • Insert Blade using a HEAVY HEMOSTAT of KELLY CLAMP •No. •No. 11 Blade •No. 12 Blade •No. 15 Blade •No. 23 Blade •KNIVES •SCISSORS •BONE Cutters and Debulking Tools •Biopsy Forceps and Punches •Curettes •Snares •Blunt Dissectors Prof. Dr. RS Mehta, BPKIHS 161
  162. 162. CUTTING AND DISSECTING •Bone Curette Prof. Dr. RS Mehta, BPKIHS 162
  163. 163. CUTTING AND DISSECTING •Mayo Scissors •Metzenbaum Scissors Prof. Dr. RS Mehta, BPKIHS 163
  164. 164. CUTTING AND DISSECTING •Suture Scissors (Blunt /Blunt) Prof. Dr. RS Mehta, BPKIHS 164
  165. 165. GRASPING & HOLDING •Tissue Forceps •Smooth Forceps •Toothed Forceps •Allis Forceps •Babcock Forceps •Stone Forceps •Tenaculums •Bone Holders Prof. Dr. RS Mehta, BPKIHS 165
  166. 166. GRASPING & HOLDING •Rat-Toothed Tissue Forceps Prof. Dr. RS Mehta, BPKIHS 166
  167. 167. GRASPING & HOLDING •Allis Tissue Forceps Prof. Dr. RS Mehta, BPKIHS 167
  168. 168. GRASPING & HOLDING •Babcock Intestinal Forceps Prof. Dr. RS Mehta, BPKIHS 168
  169. 169. GRASPING & HOLDING •Backhaus Towel Clamps Prof. Dr. RS Mehta, BPKIHS 169
  170. 170. CLAMPING & OCCLUDING •Hemostatic Forceps •Hemostats •Crushing Clamps •Noncrushing Vascular ClampsProf. Dr. RS Mehta, BPKIHS 170
  171. 171. CLAMPING & OCCLUDING •Hemostatic Forceps •Hemostats •Crushing Clamps •Noncrushing Vascular Clamps- used to occlude peripheral or major blood vessels Prof. Dr. RS Mehta, BPKIHS 171
  172. 172. CLAMPING & OCCLUDING •Pean Intestinal forceps Prof. Dr. RS Mehta, BPKIHS 172
  173. 173. CLAMPING & OCCLUDING •Hemostatic Forceps •Hemostats •Crushing Clamps •Noncrushing Vascular ClampsProf. Dr. RS Mehta, BPKIHS 173
  174. 174. CLAMPING & OCCLUDING •Hemostatic Forceps •Hemostats •Crushing Clamps •Noncrushing Vascular ClampsProf. Dr. RS Mehta, BPKIHS 174
  175. 175. EXPOSING & RETRACTING •BALFOUR ABDOMINAL RETRACTOR Prof. Dr. RS Mehta, BPKIHS 175
  176. 176. EXPOSING & RETRACTING •ARMY NAVY FARABEUF Retractor Prof. Dr. RS Mehta, BPKIHS 176
  177. 177. EXPOSING & RETRACTING •GELPI Perineal Retractor Prof. Dr. RS Mehta, BPKIHS 177
  178. 178. EXPOSING & RETRACTING •Weitlaner Retractor Prof. Dr. RS Mehta, BPKIHS 178
  179. 179. EXPOSING & RETRACTING •Spay Hook Prof. Dr. RS Mehta, BPKIHS 179
  180. 180. EXPOSING & RETRACTING •Senn Retractors Prof. Dr. RS Mehta, BPKIHS 180
  181. 181. EXPOSING & RETRACTING •Finochietto Retractor Prof. Dr. RS Mehta, BPKIHS 181
  182. 182. EXPOSING & RETRACTING •Ribbon Retractor Prof. Dr. RS Mehta, BPKIHS 182
  183. 183. SUTURING & STAPLING •Needle Holders •Tungsten Carbide Jaws •Crosshatched Serrations •Smooth Jaws •Staplers Prof. Dr. RS Mehta, BPKIHS 183
  184. 184. SUTURING & STAPLING •Terminal End Staplers •Internal Anastomosis Staplers •End-to-End Circular Staplers Prof. Dr. RS Mehta, BPKIHS 184
  185. 185. VIEWING •Speculums •Endoscopes •Hollow Endoscopes •Lensed Endoscopes Prof. Dr. RS Mehta, BPKIHS 185
  186. 186. SUCTIONING & ASPIRATING •Suction •Poole Abdominal Tip •Frazier Tip •Yankeur Tip •Autotransfusion Prof. Dr. RS Mehta, BPKIHS 186
  187. 187. SUCTIONING & ASPIRATING •Suction •Poole Abdominal Tip •Frazier Tip •Yankeur Tip •Trocar Prof. Dr. RS Mehta, BPKIHS 187
  188. 188. DILATING & PROBING Prof. Dr. RS Mehta, BPKIHS 188
  189. 189. MEASURING Prof. Dr. RS Mehta, BPKIHS 189
  190. 190. ACCESSORY INSTRUMENTS Prof. Dr. RS Mehta, BPKIHS 190
  191. 191. MICROINSTRUMENTATION Prof. Dr. RS Mehta, BPKIHS 191
  192. 192. Powered Surgical Instruments DRILL BURR BLADE REAMER ABRADER AIR-POWERED ELECTRICALLY POWERED Prof. Dr. RS Mehta, BPKIHS 192
  193. 193. HANDLING INSTRUMENTS •Standardized BASIC sets •Scrub Person counts ALL instruments, sharp and sponges with the CIRCULATOR •Handle Loose Instruments SEPARATELY •Sort by CLASSIFICATION Prof. Dr. RS Mehta, BPKIHS 193
  194. 194. Handling INSTRUMENTS during SURGERY • Know the NAME and USE • Handle INDIVIDUALLY • Use for the INTENDED purpose • Use of HAND SIGNALS • Short INSTRUMENTS = Superficial Work • LONG Instruments = DEEP • PASS instruments DECISIVELY • FREE-HAND TECHNIQUE • Watch the sterile field for LOOSE instruments • With a MOIST, SPONGE wipe blood and organic debris from instruments using a DEMINERALIZED STERILE, DISTILLED H20 Prof. Dr. RS Mehta, BPKIHS 194
  195. 195. ELECTROSURGERY •INITIAL Incision is made by a SCALPEL •Doubling the current increases the heat produced fourfold •ARGON Enhanced ESU Tip is held at 60 degree angle, causing LESS Tissue Damage •BUZZING – the process of coagulating the VESSELS •BUZZ should not exceed more than 3 SECONDS Prof. Dr. RS Mehta, BPKIHS 195
  196. 196. LASER SURGERY •Light amplification by stimulated emission of radiation (LASER) •Types of LASES = ARGON, CARBON DIOXIDE, HOLMIUM, KRYPTON, NEODYMIUM, PHOSPHATE, RUBY/XENON Prof. Dr. RS Mehta, BPKIHS 196
  197. 197. PATIENT SAFETY in LASERS  Eyes and Eyelids should be adequately protected (aluminum foil, moist pads)  Antiseptics must be NONFlammable  Rectum should be packed with a MOISTENED sponge to prevent escape of METHANE gas  Anesthetic Agents should be NONCombustible  Flexible metallic or insulated silicone endotracheal tubes  Wear high filtration MASKS for CO2 laser ablation such as condylomata (Venereal warts) Prof. Dr. RS Mehta, BPKIHS 197
  198. 198. Advantages of LASERS  Precise CONTROL = ACCURATE incision  Access to HARD to REACH areas (endoscopes, rhodium reflector mirrors)  Unobstructed view of the surgical site  Minimal TRAUMA to tissues  DRY, Bloodless SURGICAL Field  Minimal THERMAL effect  Reduced RISK for INFECTION  Prompt Healing  Reduced OPERATING Time Prof. Dr. RS Mehta, BPKIHS 198
  199. 199. Prof. Dr. RS Mehta, BPKIHS WWW.SMSO.NET 199
  200. 200. THANK YOU Free Nursing Lectures http://nursinglectures.blogspot.com 200Prof. Dr. RS Mehta, BPKIHS
  201. 201. BASIC SURGICAL INSTRUMENTS Fundamentals of Primary Health Care B 201Prof. Dr. RS Mehta, BPKIHS
  202. 202. BASIC SURGICAL INSTRUMENTS  Basic laparotomy instruments are essential to accomplish most types of general surgery. Each instrument can be placed into one of the four following basic categories:  Retracting and Occluding Instruments  Cutting and Dissecting Instruments  Clamping and Occluding Instruments  Grasping and Holding Instruments 202Prof. Dr. RS Mehta, BPKIHS
  203. 203. Retracting and Exposing Instruments  used to hold back or retract organs or tissue to gain exposure to the operative site. They are either "self- retaining" (stay open on their own) or "manual" (held by hand). When identifying retractors, look at the blade, not the handle. 203Prof. Dr. RS Mehta, BPKIHS
  204. 204. Retracting and Exposing Instruments  A Deaver retractor (manual) is used to retract deep abdominal or chest incisions. Available in various widths. 204Prof. Dr. RS Mehta, BPKIHS
  205. 205.  A Richardson retractor (manual) is used to retract deep abdominal or chest incisions Retracting and Exposing Instruments 205Prof. Dr. RS Mehta, BPKIHS
  206. 206. Retracting and Exposing Instruments  An Army-Navy retractor (manual) is used to retract shallow or superficial incisions. Other names: USA, US Army. 206Prof. Dr. RS Mehta, BPKIHS
  207. 207. Retracting and Exposing Instruments  A goulet (manual) is used to retract shallow or superficial incisions. 207Prof. Dr. RS Mehta, BPKIHS
  208. 208.  A malleable or ribbon retractor (manual) is used to retract deep wounds. May be bent to various shapes. Retracting and Exposing Instruments 208Prof. Dr. RS Mehta, BPKIHS
  209. 209.  A Weitlaner retractor (self-retaining) is used to retract shallow incisions. Retracting and Exposing Instruments 209Prof. Dr. RS Mehta, BPKIHS
  210. 210.  A Gelpi retractor (self-retaining) is used to retract shallow incisions. Retracting and Exposing Instruments 210Prof. Dr. RS Mehta, BPKIHS
  211. 211.  A Balfour with bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures. Retracting and Exposing Instruments 211Prof. Dr. RS Mehta, BPKIHS
  212. 212. Cutting and Dissecting Instruments  are sharp and are used to cut body tissue or surgical supplies. Knife Handle, Scissors (left to right) 212Prof. Dr. RS Mehta, BPKIHS
  213. 213. Cutting and Dissecting Instruments  7 handle with 15 blade (deep knife) - Used to cut deep, delicate tissue.  3 handle with 10 blade (inside knife) – Used to cut superficial tissue.  4 handle with 20 blade (skin knife) - Used to cut skin. #7, #3, #4 (left to right) 213Prof. Dr. RS Mehta, BPKIHS
  214. 214.  Straight Mayo scissors - Used to cut suture and supplies. Also known as: Suture scissors. EX: Straight Mayo scissors being used to cut suture. Cutting and Dissecting Instruments 214Prof. Dr. RS Mehta, BPKIHS
  215. 215.  Curved Mayo scissors - Used to cut heavy tissue (fascia, muscle, uterus, breast). Available in regular and long sizes. Cutting and Dissecting Instruments 215Prof. Dr. RS Mehta, BPKIHS
  216. 216.  Metzenbaum scissors - Used to cut delicate tissue. Available in regular and long sizes. Cutting and Dissecting Instruments 216Prof. Dr. RS Mehta, BPKIHS
  217. 217.  are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents. Clamping and Occluding Instruments 217Prof. Dr. RS Mehta, BPKIHS
  218. 218.  A hemostat is used to clamp blood vessels or tag sutures. Its jaws may be straight or curved. Other names: crile, snap or stat. Clamping and Occluding Instruments 218Prof. Dr. RS Mehta, BPKIHS
  219. 219. Clamping and Occluding Instruments  A mosquito is used to clamp small blood vessels. Its jaws may be straight or curved. hemostat, mosquito (left to right) 219Prof. Dr. RS Mehta, BPKIHS
  220. 220.  A Kelly is used to clamp larger vessels and tissue. Available in short and long sizes. Other names: Rochester Pean. Kelly, hemostat, mosquito (left to right) Clamping and Occluding Instruments 220Prof. Dr. RS Mehta, BPKIHS
  221. 221.  A burlisher is used to clamp deep blood vessels. Burlishers have two closed finger rings. Burlishers with an open finger ring are called tonsil hemostats. Other names: Schnidt tonsil forcep, Adson forcep. Clamping and Occluding Instruments 221Prof. Dr. RS Mehta, BPKIHS
  222. 222.  A right angle is used to clamp hard-to-reach vessels and to place sutures behind or around a vessel. A right angle with a suture attached is called a "tie on a passer." Other names: Mixter. Clamping and Occluding Instruments 222Prof. Dr. RS Mehta, BPKIHS
  223. 223.  A hemoclip applier with hemoclips applies metal clips onto blood vessels and ducts which will remain occluded. hemoclip applier with hemoclips Clamping and Occluding Instruments 223Prof. Dr. RS Mehta, BPKIHS
  224. 224. Grasping and Holding Instruments  are used to hold tissue, drapes or sponges. 224Prof. Dr. RS Mehta, BPKIHS
  225. 225.  An Allis is used to grasp tissue. Available in short and long sizes. A "Judd-Allis" holds intestinal tissue; a "heavy allis" holds breast tissue. Grasping and Holding Instruments 225Prof. Dr. RS Mehta, BPKIHS
  226. 226. Grasping and Holding Instruments  A Babcock is used to grasp delicate tissue (intestine, fallopian tube, ovary). Available in short and long sizes. 226Prof. Dr. RS Mehta, BPKIHS
  227. 227.  A Kocher is used to grasp heavy tissue. May also be used as a clamp. The jaws may be straight or curved. Other names: Ochsner. Grasping and Holding Instruments 227Prof. Dr. RS Mehta, BPKIHS
  228. 228.  A Foerster sponge stick is used to grasp sponges. Other names: sponge forcep. Foerster sponge stick EX: Sponge sticks holding a 4 X 4 and probang. Grasping and Holding Instruments 228Prof. Dr. RS Mehta, BPKIHS
  229. 229.  A dissector is used to hold a peanut. Grasping and Holding Instruments dissector EX: Dissector holding a peanut. 229Prof. Dr. RS Mehta, BPKIHS
  230. 230.  A Backhaus towel clip is used to hold towels and drapes in place. Other name: towel clip. Backhaus towel clip Large & small towel clips Grasping and Holding Instruments 230Prof. Dr. RS Mehta, BPKIHS
  231. 231.  Pick ups, thumb forceps and tissue forceps are available in various lengths, with or without teeth, and smooth or serrated jaws. Grasping and Holding Instruments 231Prof. Dr. RS Mehta, BPKIHS
  232. 232.  Russian tissue forceps are used to grasp tissue. Grasping and Holding Instruments 232Prof. Dr. RS Mehta, BPKIHS
  233. 233.  Adson pick ups are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps. Grasping and Holding Instruments 233Prof. Dr. RS Mehta, BPKIHS
  234. 234. Grasping and Holding Instruments  Long smooth pick-ups are called dressing forceps. Short smooth pick-ups are used to grasp delicate tissue. 234Prof. Dr. RS Mehta, BPKIHS
  235. 235.  DeBakey forceps are used to grasp delicate tissue, particularly in cardiovascular surgery. Grasping and Holding Instruments 235Prof. Dr. RS Mehta, BPKIHS
  236. 236. Grasping and Holding Instruments  Thumb forceps are used to grasp tough tissue (fascia, breast). Forceps may either have many teeth or a single tooth. Single tooth forceps are also called "rat tooth forceps." single tooth forceps, many teeth forceps (top to bottom) 236Prof. Dr. RS Mehta, BPKIHS
  237. 237.  Mayo-Hegar needle holders are used to hold needles when suturing. They may also be placed in the sewing category. Grasping and Holding Instruments short, medium & long (top to bottom) EX: Needle holder with suture. 237Prof. Dr. RS Mehta, BPKIHS

×